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MRS. LAUREN PFEIFFER HALLION MSN, APRN
NPI 1275067266
Nurse Practitioner - Family in La Grange, KY

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1230 MARKET ST, LA GRANGE, KY 40031(502) 225-6900(502) 666-7693 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 24, 2022, Oct 6, 2021, Jan 19, 2021 and 3 more (6 updates tracked since 2017).

About Mrs. Lauren Pfeiffer Hallion Msn, Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LAUREN PFEIFFER HALLION MSN, APRN (NPI 1275067266) is an individual family provider in La Grange, Kentucky, licensed in Kentucky (3011141) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1275067266
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LAUREN PFEIFFER HALLIONCredential: MSN, APRN
Location Address1230 MARKET STLa Grange, KY 40031-7986
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 225-6900
Fax(502) 666-7693
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 17, 2017
Last NPPES UpdateMay 24, 20226 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1275067266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3011141
1230 MARKET ST, La Grange, KY 40031
Open in Google Maps ↗

Other Identifiers 5

Other50126871KY · Passport
Medicaid7100462710KY
Other000001081439KY · Anthem
OtherK226460KY · Medicare
Other227949KY · Siho

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lauren Pfeiffer Hallion Msn, Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799062485
PECOS Enrollment IDI20170505001918
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services68 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
67 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$11.47 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$12.43 avg. paid by Medicare
Wheelchair, pediatric size, folding, adjustable, with seating system E1236
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$107.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN ELIZABETH ROBERTS MD
Family Medicine
1230 MARKET ST
LA GRANGE, KY 40031
Oldham County (502) 225-6900
KRISTINA GILBERT APRN
Nurse Practitioner
1230 MARKET ST
LA GRANGE, KY 40031
Oldham County (502) 225-6900
WENDY E GEER APRN
Nurse Practitioner
1230 MARKET ST
LA GRANGE, KY 40031
Oldham County (502) 225-6900
TRACY C JENSEN APRN
Nurse Practitioner (Family)
1230 MARKET ST
LA GRANGE, KY 40031
Oldham County (502) 225-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Hallion's NPI number?

The NPI number for Lauren Hallion is 1275067266. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Lauren Hallion located?

Lauren Hallion practices at 1230 Market St, La Grange, KY 40031. The listed phone number is (502) 225-6900.

What is Lauren Hallion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lauren Hallion enrolled in Medicare?

Yes. Lauren Hallion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lauren Hallion accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Lauren Hallion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lauren Hallion affiliated with any hospitals?

According to CMS data, Lauren Hallion is affiliated with Norton Hospitals, Inc and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Lauren Hallion was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.